Cerebral Embolic Protection by Geographic Region
JAMA Cardiology
OCTOBER 28, 2024
This randomized clinical trial evaluates regional differences in the association between stroke outcomes and cerebral embolic protection.
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Medical Xpress - Cardiology
OCTOBER 30, 2024
Findings from the first international randomized controlled trial to compare patient outcomes following treatment with large-bore mechanical thrombectomy (LBMT) versus catheter-directed thrombolysis (CDT) for intermediate-risk pulmonary embolism (PE) show that LBMT is superior with respect to the hierarchically-tested aggregated outcome of all-cause (..)
Med Page Today
JANUARY 1, 2024
(MedPage Today) -- Mortality rates were high among patients with high-risk pulmonary embolism (PE), with the worst outcomes in those with hemodynamic collapse, according to a retrospective analysis of the Pulmonary Embolism Response Team (PERT.
Circulation: Cardiovascular Interventions
JUNE 10, 2024
We reported the feasibility and short-term outcomes of percutaneous transcatheter therapy with cerebral embolic protection. BACKGROUND:Surgery or fibrinolysis is the currently available evidence-based treatment for obstructive mechanical valve thrombus. The mean survival time free from death was 1101.48 (95% CI, 929.49–1273.47)
Frontiers in Cardiovascular Medicine
JUNE 5, 2024
After preoperative evaluation, coil embolization was successfully performed to treat the pseudoaneurysm, resulting in a satisfactory outcome at the 1-year follow-up.ConclusionCoil embolization serves as an effective treatment option for ascending aortic pseudoaneurysm in BD when open surgical repair and stent graft placement are unsuitable.
Circulation
NOVEMBER 11, 2024
Additionally, multivariable logistic regression models were applied to compare the secondary outcome of clinically relevant non-major bleeding (CRNMB) between the two groups.Results:The study included 2,003 AF patients, divided into two groups: 318 patients (15.9%) with a history of prior SSE and 1,685 patients (84.1%) without.
Frontiers in Cardiovascular Medicine
FEBRUARY 14, 2024
Background Pulmonary embolism is a condition of right cardiac dysfunction due to pulmonary circulation obstruction. Malignant tumor-induced pulmonary embolism, which has a poor therapeutic outcome and a significant impact on hemodynamics, is the cause of sudden death in patients with malignant tumors.
Frontiers in Cardiovascular Medicine
JANUARY 7, 2024
However, conventional surgical and transcatheter arterial embolization treatments are less effective. In the present case, a 76-year-old hypertensive woman was admitted with dizziness and diagnosed with an unruptured bronchial artery aneurysm, which was treated by transcatheter arterial embolization and aortic stent-graft.
Stroke Journal
FEBRUARY 1, 2024
Introduction:Middle meningeal artery embolization for chronic subdural hematomas is a promising treatment either as an adjuvant to surgical evacuation of the hematoma or as a primary treatment modality. A total of 67 patients (42%) were treated with particles and 93(58%) with liquid embolic agents. mm, p<0.59).Conclusions:The
The American Journal of Cardiology
OCTOBER 29, 2024
Publication date: Available online 28 October 2024 Source: The American Journal of Cardiology Author(s): Aryan Mehta, Mridul Bansal, Siddhant Passey, Saurabh Joshi, Carlos L Alviar, Jason N Katz, J Dawn Abbott, Saraschandra Vallabhajosyula
Frontiers in Cardiovascular Medicine
MARCH 27, 2024
In this case report, we demonstrated that thrombus aspiration and in situ thrombolysis through the Guidezilla GEC are applicable to patients with PE in whom systemic thrombolysis is contraindicated, resulting in successful reperfusion and positive clinical outcomes.
Circulation: Cardiovascular Interventions
JANUARY 24, 2024
BACKGROUND:Prior clinical trials have demonstrated the efficacy of ultrasound-facilitated catheter-directed thrombolysis (USCDT) for the treatment of acute intermediate-risk pulmonary embolism (PE) using reduced thrombolytic doses and shorter infusion durations.
Frontiers in Cardiovascular Medicine
DECEMBER 20, 2023
Massive pulmonary embolism (MPE) carries significant 30-day mortality and is characterized by acute right ventricular failure, hypotension, and hypoxia, leading to cardiovascular collapse and cardiac arrest. Considerable heterogeneity in studies is a significant weakness of the available literature.
Frontiers in Cardiovascular Medicine
JULY 1, 2024
Notably, acute massive pulmonary embolism (PE) with bilateral atrial thrombosis is an exceptional occurrence in CAPS. Acute pulmonary embolism (PE) is a common cardiovascular disease that progresses rapidly and has a high mortality rate. It primarily affects small vessels, seldom impacting large vessels.
Frontiers in Cardiovascular Medicine
MARCH 27, 2024
Common embolism sites include the brain, spleen, kidneys, lungs, and intestines. Additionally, acute heart failure (AHF) can occur in up to 40% of cases, and its presence can impact the clinical outcomes of patients with IE. Cardiogenic shock (CGS) is often more likely to occur after AHF has taken place.
Stroke Journal
FEBRUARY 1, 2024
The purpose of this study was to compare the outcomes of EVT for ICAD with those of cardiogenic cerebral embolism (CE) based on real-world data from a multicenter, prospective registry study (K-NET registry) involving 40 centers in Japan.Methods:The K-NET study enrolled 3187 EVTs in 2018-2021, of which 358 (11%) were ICAD and 1870 (59%) were CE.
JAMA Cardiology
NOVEMBER 21, 2023
This cohort study assesses outcomes in patients with pulmonary embolism using high-sensitivity vs conventional troponin I.
Journal of the American Heart Association
JANUARY 19, 2024
BackgroundCerebral embolic protection devices (CEPD) capture embolic material in an attempt to reduce ischemic brain injury during transcatheter aortic valve replacement. Primary clinical outcome was all‐cause stroke. Secondary clinical outcomes were disabling stroke and all‐cause mortality.
Frontiers in Cardiovascular Medicine
FEBRUARY 22, 2024
Aims Perioperative stroke remains a devastating complication after transcatheter aortic valve implantation (TAVI), and using a cerebral embolic protection device (CEPD) during TAVI may reduce the occurrence of stroke according to some studies.
Heart BMJ
MAY 10, 2024
Objectives The use of cerebral embolic protection (CEP) during transcatheter aortic valve implantation (TAVI) has been studied in several randomised trials. The primary outcome was the risk of disabling stroke. The minimal clinically important difference was determined at 1.1% ARD, per expert consensus (NNT 91).
Stroke: Vascular and Interventional Neurology
NOVEMBER 9, 2023
Middle meningeal artery embolization (MMAE) is a promising minimally invasive alternative with an estimated surgical recurrence rate of 6.8% Primary outcome is defined as the proportion of patients that require rescue surgery or die within 180 days. for standalone MMAE and combined MMAE and surgery respectively.
Dr. S. Venkatesan MD
OCTOBER 15, 2024
A new Intelligent thrombo-suction catheter system , is being introduced for treatment of acute pulmonary embolism.This device regulates the force with which thrombus is sucked , with less injury and bleeding and better outcomes. Human studies & Evidence The experience from this device was presented in ESC 2024 London.
ECG Cases
NOVEMBER 6, 2018
This Best Case Ever elucidates the practical challenges of working up pregnant patients in the ED with a suspicion of pulmonary embolism. Since this recording, the first ever multi-center prospective outcome study looking at the pulmonary embolism workup in pregnancy was published in the Annals of Internal Medicine.
Stroke Journal
FEBRUARY 1, 2024
Previous studies have noted that ICAD-related LVOs, compared to embolic occlusions, have longer procedural times and lower successful reperfusion rates. However, clinical outcomes remain similar. Patient outcomes at 3 months were assessed using modified Rankin Scale (mRS) scores, defining devastating outcomes as mRS 5-6.
Stroke: Vascular and Interventional Neurology
NOVEMBER 9, 2023
The inflow aneurysms were accessed and embolized with coils using a second microcatheter prior to AVM embolization. Extensive but partial filling of the AVM was noted anteriorly but full embolization of the posterior aspect of the nidus was not achieved. Onyx‐18 was then injected into the main AVM pedicle under a blank roadmap.
Stroke: Vascular and Interventional Neurology
NOVEMBER 9, 2023
We present a single‐center experience describing the characteristics and outcomes of treated and untreated IIAs.MethodsThis is a single‐center retrospective observational study of patients admitted with IE who developed IIAs and were admitted at our institute from 2016 to 2022. underwent n‐BCA embolization, 14.2% 9); (P=0.002).
Circulation: Cardiovascular Interventions
FEBRUARY 27, 2024
In this study, we assessed the clinical predictors and outcomes of advanced therapy compared with anticoagulation alone for the acute management of right heart thrombus.Methods:In this observational cohort study, we analyzed consecutive patients who were treated for right heart thrombus. The primary end point was 90-day all-cause mortality.
Stroke: Vascular and Interventional Neurology
NOVEMBER 9, 2023
IntroductionThe use of detachable coils for endovascular embolization of cerebral aneurysms has become a safe and effective alternative to direct surgical clipping in patients with ruptured aneurysmal subarachnoid hemorrhage. Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023.
DAIC
FEBRUARY 9, 2024
According to researchers, complications related to the embolization procedure were low, and neurological function was comparable to those without embolization. The primary outcome was how frequently there was reaccumulation of blood (a recurrence) that required surgical drainage within 90 days. of those who had surgery alone.
Stroke Journal
FEBRUARY 1, 2024
We isolated a cohort of patients with likely embolic PCA occlusions (those with atrial fibrillation) and compared outcomes associated with IVT and EVT versus medical management (MM).Methods:The Patterns were also similar when patients with a concomitant BAO were included (routine discharge adjusted OR for IVT: 1.57, 95% CI:1.03-2.38).Conclusion:Our
Journal of the American Heart Association
NOVEMBER 28, 2023
Although the clinical outcomes and economic burdens of VTE have been well described, the impact of VTE on patients' health status has yet to be summarized. After screening and exclusion, 136 references were identified; 5 described PROM development, 20 focused on PROM validation, and 111 used PROMs in outcomes research.
Stroke: Vascular and Interventional Neurology
NOVEMBER 9, 2023
3 The third‐generation iteration of the Pipeline Embolization Device (PED) incorporates Shield technology, a phosphorylcholine coating designed to reduce thrombogenicity via mimicry of native cell membranes.4 IntroductionIndications for flow diversion for the treatment of cerebral aneurysms have increased remarkably in recent years.1
Journal of the American Heart Association
FEBRUARY 23, 2024
BackgroundIn patients with acute cardiogenic cerebral embolism, a residual thrombus may still be present in the cardiac cavity even after reperfusion therapy. The primary outcome was a poor clinical outcome (modified Rankin Scale score, 3–6) at 90 days. Journal of the American Heart Association, Ahead of Print. versus 31.1%;P=1.000).ConclusionsResidual
Stroke Journal
FEBRUARY 1, 2024
NT-proBNP significantly predicted recurrent stroke; recurrent ischemic stroke or systemic embolism; and recurrent stroke or death after adjusting for other risk factors, while PTFV1 and LADI did not (Table). Recurrent stroke occurred in 80 patients (annualized rate, 4.4%) and death in 54 patients.
Stroke: Vascular and Interventional Neurology
NOVEMBER 9, 2023
We studied the effects of COA treatment with FD alone or in combination with coil embolization, based on the origin of the ophthalmic artery in‐relation to the aneurysm sac.MethodsRetrospective analysis of a prospectively collected tertiary center database. directly from the aneurysm fundus, B. aneurysm neck, C. aneurysm neck, C.
Stroke: Vascular and Interventional Neurology
NOVEMBER 9, 2023
With the advancement of endovascular coil devices, aneurysm embolization with coiling is becoming the more preferred treatment approach compared to craniotomy with microsurgical clipping. Primary outcomes were functional status recorded as modified Rankin scores (mRS) and radiographic occlusion rates documented as Raymond‐Roy scores.
American College of Cardiology
APRIL 16, 2024
What are the in-hospital and readmission outcomes in patients with intermediate-risk or high-risk pulmonary embolism (PE) treated with versus without catheter-based therapies (CBTs) in a large retrospective registry?
Stroke: Vascular and Interventional Neurology
NOVEMBER 9, 2023
However, IVT's efficacy on stent retriever (SR) and aspiration thrombectomy (ASP) outcomes specifically remain unclear. Moreover, our results indicate that administration of IVT before MT may improve certain outcomes based on the used first‐line MT technique. ResultsWe included four randomized controlled trials with 1176 patients.
Open Heart
MAY 11, 2023
The aim of our study was to investigate factors associated with patient refusal of anticoagulation and the clinical outcomes in these patients. Further research is required to understand the patient profile and mortality outcome of patients who refuse anticoagulation.
Circulation
NOVEMBER 11, 2024
The percentage of time in the therapeutic range (TTR) was used as the primary outcome while bleeding, thrombosis, and other events were the secondary outcomes.Results:A total of 721 patients were enrolled. 1.09; P < 001) and reduced the bleeding and embolic risk by 6% (OR 0.94, 95% CI 0.92-0.96;
Open Heart
MARCH 1, 2024
The primary outcome was major bleeding resulting in hospitalisation based on International Classification of Diseases (ICD)-10 codes. Secondary outcomes included intracranial bleeding, gastrointestinal bleeding and other bleeding. Propensity score matching was performed, and matched cohorts were compared using Cox proportional HRs.
Journal of the American Heart Association
JANUARY 31, 2024
The primary outcomes were ischemic stroke, systemic embolic events, and hospitalization for major bleeding. The secondary outcomes were intracranial hemorrhage, hospitalization for gastrointestinal bleeding, all‐cause mortality, and a composite outcome. The median follow‐up duration was 2.4 1.06];P=0.11). 1.06];P=0.11).
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